When you were a kid, it was Halloween candy. You hid it from your parents and you ate it until you got sick. In college, it was the heavy combo of youth, tequila and well, you know. As a surgeon, you take as much of the good as you can get because it doesn't come around nearly as often as it should. 'Cause good things aren't always what they seem. Too much of anything, even love, is not always a good thing. How do you know when how much is too much? Too much too soon. Too much information. Too much fun. Too much love. Too much to ask... And when is it all just too much to bear?

Much too Much is the tenth episode of the second season and the 19th overall episode of Grey's Anatomy.

Short SummaryEdit

It's a high profile day for Seattle Grace, high profile names become staff and high profile cases arrive, specifically the arrival of Dr. Addison Forbes Montgomery-Shepherd and the mother of quintuplets, in which three of the five are surgical cases. Meanwhile, the rest of the interns face their own low profile dilemmas, as Meredith's one night stand shows up at the hospital more than pleased to see her, Cristina gets keyed and Alex makes a major mistake, both professionally and romantically.

Full SummaryEdit

The episode begins with Meredith's narration over a shot of Meredith and an unknown man's legs as they stumble through the door, taking their clothes off.

Cristina and Burke passionately make out as they enter Burke's apartment. Cristina asks, through kisses, if it was where Burke lives. He picks her up and carries her into the bedroom as she laughs.

Alex and Izzie kiss as they enter the house as well, undressing each other.

Derek and Addison kiss as they shower together.

Derek rolls over next to Addison after sex.

Meredith does the same with her one night stand.

Derek looks conflicted, but Addison smiles and says that it was amazing. Derek half-heartedly agrees, still looking upset.

Meredith turns away from her one night stand while he asks "Did you..." trailing off for implication. Meredith says she did but is obviously lying, as she looks upset too.

The next morning, Meredith sits in a chair next to the bed where Steve is still sleeping. She is on the phone with Cristina, awkwardly telling her about him. Cristina walks out of the bathroom, brushing her teeth as she asks questions. The conversation shifts to Cristina telling Meredith that she's at Burke's apartment, and uneasily complaining about the neatness about his apartment. Steve wakes up as Meredith deadpan jokes for her to get out of the house. Steve asks Meredith who she was talking to, and she hangs up. She uses the same parting line as she did with Derek, saying that when she gets out of the shower, he won't be there.

Cristina searches Burke's kitchen and finds a key in a coffee mug with a note next to it. The note, to Cristina from Burke, says that he had a key made for her. Cristina is alarmed.

In the kitchen at Meredith's house, George and Izzie discuss Meredith's one night stand. When George jokes about men she has previously slept with, he insists that he is over her. Regardless, he complains about the number of men she has slept with. They both see Steve run out, and Izzie nicknames him "Running Guy." George brings up that Izzie came home with Alex, but Izzie says that she doesn't want to talk about it, and then clarifies that she does, but Alex doesn't because he had difficulty getting in the mood. George laughs and Izzie warns that he can't say anything. Izzie says that maybe the relationship isn't meant to be, and that she just needs sex, aggressively grabbing him by his shirt. George jokes that he won't sleep with her no matter how much she begs.

In Richard's office, Addison signs a form to make her employment official. Addison tells Richard that the mother pregnant with quintuplets checked in to the hospital. She also tells him that she needs people from all departments because at least three of the babies will need surgery.

Alex presents Robert Martin's file to Derek as the patient is in CT. Robert believes he is on a plane and asks if they are stewardesses, to which Derek jokes that they're called flight attendants now. They find the tumor, which is causing extreme thirst, which in turn lowers the patient's sodium level. Derek sends Alex to have 300 CCs of 3% saline solution administered over 3 hours.

Addison introduces Izzie to Dorie Russell, the mother of the quintuplets. Dorie intends to make it past two weeks the anticipated maximum gestation. She mentions that she already has triplet boys, which Izzie makes a distasteful joke about. Addison chastises her, but Dorie says that it's okay and she's used to it. After they're done talking, Addison quietly tells Izzie not to "...say everything that pops into your brain."

Meredith and Cristina are sitting on a bench in front of the hospital. Meredith wonders why men she takes home for a one night stand always expect something more. Cristina shows her the key that Burke gave her, and protests that they haven't even had coffee together yet. Steve walks up to them, visibly uncomfortable. He's surprised to find out that she works there, and says he has a problem. He moves the jacket to reveal his erect penis. At first, Meredith doesn't notice, but Cristina stares and introduces herself. Steve tells her that he's still erect from sex with her last night, and Meredith finally notices.

Meredith and Cristina walk Steve into the ER. Meredith wants to be discreet while diagnosing him, but Cristina says that it's not her fault that Meredith "broke this guy's penis." As she's saying that, Bailey walks behind them and overhears. They try to walk ahead, but Bailey tells them to stop because she's pregnant and doesn't want to go after them. Cristina says that she needs to check on labs as an excuse to leave the situation. Bailey looks at Meredith and Steve, who are both embarrassed.

Izzie is giving Dorie Russell an ultrasound. She declares the results pretty good for a set of quintuplets. Dorie sighs in discomfort and tells Izzie that Kate, one of the babies, kicks her hard. Izzie asks in indignation if she named them already. Dorie says she knows Izzie thinks she is crazy, and Izzie apologizes if she said something to offend her. Dorie tells her to be honest, and she knows that Izzie had been judging her. Izzie admits that she thought it would be better for the rest of the babies if only two had been terminated. Dorie already knows, but she "introduces" Izzie to each of them my placing her hand over their positions and telling her their names and little about each of them. Izzie warms up to Dorie.

Meredith brings Steve and Bailey into an examination room and tells her about his problem, calling Steve a "friend". Steve insists that he didn't take any anti-erectile dysfunction drugs, even after Bailey warns him about the painful diagnostic procedures ahead. Bailey tells Meredith to start his workup.

Addison tells Derek and Burke about the quints and gives her copies of the files. They passive-aggressively complain about being on standby in anticipation of the quints' birth. They both agree to meet Dorie. Burke leaves, and Addison walks with Derek while he looks over the file. Addison asks if anything is wrong since Derek left their hotel room early that morning, but Derek says he had an early surgery.

Izzie helps Dorie into bed, and she jokes that she feels like a beached whale. Addison walks in with Derek, introducing him. Dorie is impressed at Derek's attractiveness. Dorie jokes that everyone must hate them. Derek talks to Dorie about Baby C's, or Lucy's, condition, hydrocephaelus. Dorie is worried at first, until Derek says that, barring complications, her baby will be fine.

Cristina asks Burke what the key is, and he sarcastically replies that it's a key. He dodges her questions and they exchange sarcastic remarks until Meredith walks up. Burke walks away, and Meredith tells Cristina that Steve's labs are clean and that someone needs to induce vasoconstriction. Cristina doesn't want to, but agrees once Meredith says she will do every enema Cristina is assigned to for a month. Cristina remarks that she really doesn't want to do it.

Robert Martin is in his room, papers and file folders everywhere, discussing work with his personal assistant. Derek tells him about his approach to removing his tumor. Robert is skeptical and tells his assistant to look up Derek's credentials. Derek tells him that once his sodium levels are stabilized, they'll operate, but that means he can't drink any more water and will be kept hydrated intravenously.

Cristina prepares Steve for an enema while he gripes about his unfortunate situation. He is cut off when Cristina begins the procedure.

Olivia the Nurse works on a computer while Alex is filling out paperwork. He asks if she's still not talking to him, and she points out that he gave her syphilis. She asks about George, and Alex makes fun of him. He says that minimal disclosure is his policy, and gives Olivia the paperwork. Irritated, she takes it and walks away. Izzie comes up to Alex and tells him that she's on the quints' case.


  • Meredith Grey
  • Cristina Yang
  • Izzie Stevens
  • Alex Karev
  • George O'Malley
  • Miranda Bailey
  • Richard Webber
  • Addison Montgomery-Shepherd
  • Preston Burke
  • Derek Shepherd
  • Robert Martin
  • Dorie Russell
  • Tom Russell
  • Steve Murphy
  • Nurse Olivia Harper
  • Patricia
  • Doyle

Main CastEdit

Guest StarsEdit


Medical NotesEdit

Robert MartinEdit

  • Diagnosis:
    • Subdural hemorrhage
    • Delirium
    • Rathke's cleft cyst
    • Hyponatremia
    • Seizure
  • Treatment:
    • Hypertonic saline solution
    • Surgery

Robert, 45, collapsed and hit his head, causing a subdural hemorrhage. He also had uncontrolled eye movement and delirium. He had low sodium because he was drinking more to quench increased thirst caused by a Rathke's cleft cyst. They treated his condition with hypertonic saline and planned surgery. Robert locked himself in the bathroom and drank water despite orders not to drink anything, so he was given more saline, but an incorrect dosage was ordered, which dehydrated his brain and caused it to swell.

Dorie RussellEdit

  • Diagnosis:
    • Quintuplet pregnancy
  • Treatment:
    • Trendelenburg position

Dorie was 32 weeks pregnant with quintuplets. When she started having contractions, she was given magnesium and put in trendelenburg position. When her placenta started tearing, she was taken immediately into surgery for the c-section to deliver the quints.

Steve MurphyEdit

  • Diagnosis:
    • Priapism
    • Spinal tumor
  • Treatment:
    • Enema
    • Needle aspiration
    • Tumor resection

Steve came to the hospital with an uncontrollable erection. He denied use of erectile dysfunction drugs and his labs were clean, so he was given an enema to induce vasoconstriction. When that didn't work, they tried needle aspiration. He went flaccid, but soon, his penis was again erect. Bailey then called for a neuro consult. A CT showed a spinal tumor pressing on his cavernous nerve, causing the persistent erection. The tumor was removed successfully.

Lucy RussellEdit

  • Diagnosis:
    • Hydrocephalus
    • Prematurity
  • Treatment:
    • Shunt

Lucy was diagnosed in utero with hydrocephalus. They planned to operate to place a shunt immediately after her birth. She was born at 32 weeks' gestation.

Emily RussellEdit

  • Diagnosis:
    • Hypoplastic left heart syndrome
    • Prematurity
  • Treatment:
    • Surgery

Emily was diagnosed in utero with hypoplastic left heart syndrome and surgery was planned for immediately after her birth. She was born at 32 weeks' gestation.

Julie RussellEdit

  • Diagnosis:
    • Omphalocele
    • Prematurity
  • Treatment:
    • Surgery

Julie was diagnosed in utero with an omphalocele and surgery was planned for after her birth. She was delivered at 32 weeks' gestation.

Kate RussellEdit

  • Diagnosis:
    • Prematurity
  • Doctor:
  • Treatment:

Kate was born at 32 weeks' gestation.

Charlotte RussellEdit

  • Diagnosis:
    • Prematurity
  • Doctor:
  • Treatment:

Charlotte was born at 32 weeks' gestation.


Song Performer Scene
"Night of the Dancing Flame" Róisín Murphy
  • Meredith brings home a one-night stand.
  • Cristina and Burke enter his apartment.
  • Izzie and Alex come home.
  • Derek imagines kissing Meredith in the shower.
  • The couples finish having sex.
  • Meredith talks to Cristina on the phone.
"Lotion" Greenskeepers
  • Doyle takes away his boss's water.
  • Cristina performs an enema on Steve while Steve talks about Meredith.
  • Alex and Olivia talk about George.
  • Alex and Izzie talk.
  • George finds Meredith sitting on the stairwell and they talk.
"Crying Shame" Get Set Go
"You and Me" Lifehouse
"High" James Blunt
  • Izzie finds Alex in bed with Olivia.
  • The quints are born and taken to be cared for.

Notes and TriviaEdit

  • This episode's title originated from the song Much Too Much, originally sung by The Who.
  • This episode scored 19.59 million viewers.
  • Lotion by Greenskeepers, which is a song about The Silence of the Lambs, plays while George and Meredith make references to the same movie.


Meredith: They always look so sad when I kick them out. Seriously, why do guys not understand that when you pick them up in a bar and take them home for sex, that there are no picket fences or kids in your future?
(Cristina takes out Burke's key)
Meredith: Burke keyed you?
Cristina: I got freaking keyed before coffee.
Meredith: What is wrong with them?
Cristina: They're like these 1950s debutantes, one dance and there's a shotgun to your head.
(Meredith's One-Night-Stand walks up)
Steve: Meredith? You work here?
Meredith: What are you doing
Steve: I'm having a little problem.
Cristina: Steve, Steve?
Steve: Actually, I'm having a big problem.
(Moves his jacket to reveal his erect penis. Cristina notices and starts staring at it. Meredith doesn't notice.)
Meredith: What?
Cristina: (Still staring) Steve, hi! Cristina.
Steve: Ever since you...and I... (Meredith follows Cristina's gaze and does a double-take) Um... It won't go away.
Meredith: Cristina!
Cristina: What? It's right there, looking at me! There are so many things I could say right now — Champ!
Izzie: Triplets? You- You already have triplets? Oh, I guess when you take those fertility pills, you should read the fine print.
Addison: Dr. Stevens.
Izzie: Oh, I'm sorry. I just, I meant it as a-
Dorie: It's okay. I'm used to it. I just really wanted a girl.

See AlsoEdit

A complete overview of this episode's crew can be found here.

The Grey Matter blog post on this episode can be found here.